Hana Mohamed Ali

Individual provider Active NPI Behavior Technician · Fridley, MN

NPI 1023804259 · NPPES record last updated Apr 15, 2025

Key facts

NPI
1023804259
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
7205 University Ave NE
Fridley, MN 55432-3134
Phone
(612) 298-7636
Fax
(612) 354-3801
NPI assigned
Apr 15, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X MN Yes

Addresses

Primary practice location

7205 University Ave NE
Fridley, MN 55432-3134

Mailing address

3755 Wooddale Ave S Apt 110
Minneapolis, MN 55416-5390
Phone (612) 352-0841

Other providers in Fridley, MN

All providers in Fridley, MN · Behavior Technician in Minnesota

Sources for this page

Verify at the official NPI Registry.